Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

MARILYN A ALVAREZ

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

NPI
1578148680
CMS profile
10867699
Location
LAS VEGAS, NV

General Payments · PY2022–2025

$2,689.27

  • Reported across 122 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$1,170.47

58 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,170.47 58

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $216.96 5
PY2023 $404.23 14
PY2024 $897.61 45
PY2025 $1,170.47 58

Payment records · PY2025 (58)

Sorted by paying entity, then date · as published by CMS

Program year 2025 202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
ABBVIE INC. $21.01 06/24/2025 Food and Beverage Undisputed 06/30/2026 1204936254 CMS
ABBVIE INC. $21.79 10/16/2025 Food and Beverage Undisputed 06/30/2026 1204936258 CMS
ABBVIE INC. $18.97 11/12/2025 Food and Beverage Undisputed 06/30/2026 1204936262 CMS
Alkermes, Inc. $28.20 06/04/2025 Food and Beverage Undisputed 06/30/2026 1222435014 CMS
Alkermes, Inc. $26.85 11/26/2025 Food and Beverage Undisputed 06/30/2026 1222435016 CMS
Alkermes, Inc. $26.91 12/02/2025 Food and Beverage Undisputed 06/30/2026 1222435018 CMS
Almatica Pharma LLC $13.72 03/24/2025 Food and Beverage Undisputed 06/30/2026 1209938871 CMS
Almatica Pharma LLC $20.89 05/28/2025 Food and Beverage Undisputed 06/30/2026 1209938873 CMS
Almatica Pharma LLC $14.23 06/25/2025 Food and Beverage Undisputed 06/30/2026 1209938875 CMS
Axsome Therapeutics, Inc. $14.94 01/07/2025 Food and Beverage Undisputed 06/30/2026 1235348378 CMS
E.R. Squibb & Sons, L.L.C. $22.34 01/28/2025 Food and Beverage Undisputed 06/30/2026 1184389357 CMS
E.R. Squibb & Sons, L.L.C. $14.71 02/18/2025 Food and Beverage Undisputed 06/30/2026 1184389363 CMS
E.R. Squibb & Sons, L.L.C. $43.17 06/10/2025 Food and Beverage Undisputed 06/30/2026 1184389377 CMS
E.R. Squibb & Sons, L.L.C. $24.49 07/16/2025 Food and Beverage Undisputed 06/30/2026 1184389381 CMS
E.R. Squibb & Sons, L.L.C. $31.82 08/13/2025 Food and Beverage Undisputed 06/30/2026 1184389393 CMS
E.R. Squibb & Sons, L.L.C. $19.52 09/24/2025 Food and Beverage Undisputed 06/30/2026 1184389401 CMS
E.R. Squibb & Sons, L.L.C. $23.45 10/15/2025 Food and Beverage Undisputed 06/30/2026 1184389405 CMS
E.R. Squibb & Sons, L.L.C. $23.67 11/12/2025 Food and Beverage Undisputed 06/30/2026 1184389407 CMS
E.R. Squibb & Sons, L.L.C. $3.42 11/12/2025 Food and Beverage Undisputed 06/30/2026 1184389409 CMS
E.R. Squibb & Sons, L.L.C. $38.47 12/10/2025 Food and Beverage Undisputed 06/30/2026 1184389411 CMS
Indivior Inc. $31.60 10/02/2025 Food and Beverage Undisputed 06/30/2026 1240506279 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.60 02/12/2025 Food and Beverage Undisputed 06/30/2026 1241442041 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $13.72 06/26/2025 Food and Beverage Undisputed 06/30/2026 1241442043 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $16.09 11/10/2025 Food and Beverage Undisputed 06/30/2026 1241442045 CMS
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) $14.84 11/19/2025 Food and Beverage Undisputed 06/30/2026 1241442047 CMS
Janssen Pharmaceuticals, Inc $22.21 01/21/2025 Food and Beverage Undisputed 06/30/2026 1174689607 CMS
Janssen Pharmaceuticals, Inc $24.95 02/10/2025 Food and Beverage Undisputed 06/30/2026 1174689618 CMS
Janssen Pharmaceuticals, Inc $28.93 03/20/2025 Food and Beverage Undisputed 06/30/2026 1174686950 CMS
Janssen Pharmaceuticals, Inc $25.46 06/05/2025 Food and Beverage Undisputed 06/30/2026 1174689896 CMS
Lundbeck LLC $16.15 01/08/2025 Food and Beverage Undisputed 06/30/2026 1251866008 CMS
Lundbeck LLC $21.81 01/17/2025 Food and Beverage Undisputed 06/30/2026 1251866010 CMS
Lundbeck LLC $19.43 07/31/2025 Food and Beverage Undisputed 06/30/2026 1251866012 CMS
Neurocrine BioSciences, Inc. $16.50 05/21/2025 Food and Beverage Undisputed 06/30/2026 1242909860 CMS
Neurocrine BioSciences, Inc. $15.78 05/21/2025 Food and Beverage Undisputed 06/30/2026 1242913819 CMS
Neurocrine BioSciences, Inc. $20.58 11/11/2025 Food and Beverage Undisputed 06/30/2026 1242881492 CMS
Neurocrine BioSciences, Inc. $28.17 11/19/2025 Food and Beverage Undisputed 06/30/2026 1242835547 CMS
Otsuka America Pharmaceutical, Inc. $26.28 01/30/2025 Food and Beverage Undisputed 06/30/2026 1227562296 CMS
Otsuka America Pharmaceutical, Inc. $28.10 02/27/2025 Food and Beverage Undisputed 06/30/2026 1227562300 CMS
Otsuka America Pharmaceutical, Inc. $20.00 03/26/2025 Food and Beverage Undisputed 06/30/2026 1227562305 CMS
Otsuka America Pharmaceutical, Inc. $22.77 04/15/2025 Food and Beverage Undisputed 06/30/2026 1227562308 CMS
Otsuka America Pharmaceutical, Inc. $25.31 04/29/2025 Food and Beverage Undisputed 06/30/2026 1227562312 CMS
Otsuka America Pharmaceutical, Inc. $22.59 05/08/2025 Food and Beverage Undisputed 06/30/2026 1227562314 CMS
Otsuka America Pharmaceutical, Inc. $18.13 05/20/2025 Food and Beverage Undisputed 06/30/2026 1227562317 CMS
Otsuka America Pharmaceutical, Inc. $17.21 05/29/2025 Food and Beverage Undisputed 06/30/2026 1227562320 CMS
Otsuka America Pharmaceutical, Inc. $18.89 07/09/2025 Food and Beverage Undisputed 06/30/2026 1227562324 CMS
Otsuka America Pharmaceutical, Inc. $1.58 07/09/2025 Food and Beverage Undisputed 06/30/2026 1227562327 CMS
Otsuka America Pharmaceutical, Inc. $9.70 07/23/2025 Food and Beverage Undisputed 06/30/2026 1227562330 CMS
Otsuka America Pharmaceutical, Inc. $30.81 08/05/2025 Food and Beverage Undisputed 06/30/2026 1227562333 CMS
Otsuka America Pharmaceutical, Inc. $1.24 09/02/2025 Food and Beverage Undisputed 06/30/2026 1227562336 CMS
Otsuka America Pharmaceutical, Inc. $13.96 09/03/2025 Food and Beverage Undisputed 06/30/2026 1227562340 CMS
Otsuka America Pharmaceutical, Inc. $16.50 10/13/2025 Food and Beverage Undisputed 06/30/2026 1227562343 CMS
Otsuka America Pharmaceutical, Inc. $24.53 11/04/2025 Food and Beverage Undisputed 06/30/2026 1227562347 CMS
Otsuka America Pharmaceutical, Inc. $15.34 12/11/2025 Food and Beverage Undisputed 06/30/2026 1227562350 CMS
Otsuka America Pharmaceutical, Inc. $1.51 12/11/2025 Food and Beverage Undisputed 06/30/2026 1227562354 CMS
Otsuka America Pharmaceutical, Inc. $16.78 12/16/2025 Food and Beverage Undisputed 06/30/2026 1227562358 CMS
OWP Pharmaceuticals, Inc. $14.78 10/21/2025 Food and Beverage Undisputed 06/30/2026 1208704684 CMS
Teva Pharmaceuticals USA, Inc. $18.12 01/22/2025 Food and Beverage Undisputed 06/30/2026 1247334789 CMS
Teva Pharmaceuticals USA, Inc. $20.95 05/14/2025 Food and Beverage Undisputed 06/30/2026 1247334875 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

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